KTST, Inc.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT13590 Issued in CA

Legal business name

KTST, INC.

Practice address

12832 Garden Grove Blvd.
Suite B
Garden Grove, CA 92843

Phone

(714) 534-1100

Fax

(714) 534-1140

NPI assigned

Dec 27, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mansour Tafreshi, D.C.NPI 1154439826

Title

President

Phone

(714) 534-1100

Specialties & licenses 1

Addresses

Other names 1

• Marathon Physical Therapy Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mansour Tafreshi, D.C.

  • Chiropractor
  • Riverside, CA
  • NPI 1154439826
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225756800000",
    "number": "1811974363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12832 GARDEN GROVE BLVD.",
            "address_2": "SUITE B",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "92843",
            "telephone_number": "714-534-1100",
            "fax_number": "714-534-1140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12832 GARDEN GROVE BLVD.",
            "address_2": "SUITE B",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "92843",
            "telephone_number": "714-534-1100",
            "fax_number": "714-534-1140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KTST, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-27",
        "last_updated": "2008-11-04",
        "status": "A",
        "authorized_official_last_name": "TAFRESHI",
        "authorized_official_first_name": "MANSOUR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-534-1100",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "PT13590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marathon Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kourosh Alexander Dastgheib, M.D., Inc
• Jonathan Edward Kramer
• Julia Krause, MPT
• Travis Krehbiel
• Kris Acupuncture, Inc
• Brittany Kubista, COTA/L
• Adekunle Samuel Kudehinbu
• Hannah Kuitems
• Diksha Kumar
• Howard Stanley Kunihiro, DDS

• Physical Therapy Clinic/Center in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.